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Okaloosa County BOCC — February 4, 2014 — Pre-application for Design, Construct and Equip Air Traffic Control Tower at DTS — reading text

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OMB Approval No. 0348-0043 2. DATE SUBMITTED APPLICATION FOR Applicant Identifier FEDERAL ASSISTANCE Preapplication Construction 3. DATE RECEIVED BY STATE State Application Identifier [1] Non-Construction [] Non-Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier 5, APPLICANT INFORMATION Legal Name: Okaloosa County Board of County Commissioners DUNS 613277649 Organizational Unit: -Office of Contracts & Grants Address (give city, county, state, and zip code) 1804 Lewis Turner Blyd (Ste 206) Fort Walton Beach, FL 32547 Name and telephone number of the person to be contracted on matters involving this application (give area code) Marcella Eubanks(850)651-7200, Ext 4381 e-mail: grants@clerkofcourts.ce EMPLOYER IDENTIFICATION NUMBER (EIN): HO-GOoOOOMAGEA 8. TYPE OF APPLICATION: xX] New If Revision, enter appropriate letter(s) in box(es): im Continuation im Revision B Decrease Award C Increase Duration Other (specify) A Increase Award D Decrease Duration 7. TYPE OF APPLICANT: (enter appropriate letter in box) B A. State H. Interdependent School District B. County |, State Controlled Institution of Higher Learning C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual F, Intermunicipai M. Profit Organization G. Special District N. Other (Specify) 9. NAME OF FEDERAL AGENCY Federal Aviation Administration (FAA) 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER 2 O|. TITLE: Airport Improvement Program (AIP) 12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.): Okaloosa County 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: Design, Construct and Equip Air Traffic Control Tower for Destin Airport 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF Start Date Ending Date a. Applicant b. Project June 2014 December | Ist Ist 2014 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS a. Federal $ 2.000.000 -00 a. YES, XX THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE anen STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON b. Applicant $ 00 PFC 1,000,000 c. State § 1,000,000 — -9 DATE: 12/19/2012 d. Local $ b. NO [_] PROGRAM IS NOT COVERED BY E. 0. 12372 e. Other $ [_] OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW f. Program income $ 17, IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g. TOTAL $ 4,000,000 -90 [] Yes if yes, attach an explanation No 18, TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Typed Name of Authorized Representative Charles K. Windes, Jr. b. Title Chairman, Okaloosa County Board of Commissioners c. Telephone number (850)651-7105 d. Signature of Authorized Representative e. Date Signed Previous Editions Not Usable Authorized for Local Reproduction Standard Form 424 (REV 4-88) Prescribed by OMB Circular A-102 U.S, DEPARTMENT OF TRANSPORTATION OMB NO, 80-RO184 FEDERAL AVIATION ADMINISTRATION PART I PROJECT APPROVAL INFORMATION SECTION A Item 4 Does this assistance request require State, local, Name of Governing Body regional, or other priority rating? Priority ["lYes ExJNo Item 2. Does this assistance request require State, local Name of Agency or Board advisory, educational or health clearances? (Attach Documentation) ’ ClyYes IX]No Item 3 Does this assistance request require clearinghouse review (Attach Comments)See Attached EA/FONS! in accordance with OMB Circular A-95? Elves [_]No Item 4 Does this assistance request require State, local, Name of Approving Agency Okaloosa Walton regional or other planning approval? Transportation Planning Organization Klyes CINo Date Jul 2013 Check One: State C] Item 5, Local C] Is the proposed project covered by an approved Regional [] comprehensive plan? ClYes KJNo Location of plan item 6. Will the assistance requested serve a Federal Name of Federal Installation installation? Federal Population benefiting from Project ClYes KINo Item 7 Will the assistance requested be on Federal land Name of Federal Installation or installation? Location of Federal Land ClYes RINo Percent of Project Item 8 Will the assistance requested have an impact or effect on the environment? [TYes X]No Number of: Item_9. Individuals Will the assistance requested cause the displacement of Families individuals, families, businesses, or farms? Businesses — iW ————— [lyes EXINo Farms Item 10. Is there other related Federal assistance on this project previous, pending, or anticipated? [_]Yes XINo Page 2 FAA Form 5100-100 (6-73} SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION OMB NO. 80-RO184 PART II - SECTION C The Sponsor hereby represents and certifies as follows: 1. Compatible Land Use. ~ The Sponsor has taken the following actions to assure compatible usage of land adjacent to or in the vicinity of the airport: N/A 2. Defaults. - The Sponsor is not in default on any obligation to the United States or any agency of the United States Government relative to the development, operation, or maintenance of any airport, except as stated herewith: N/A 3, Possible Disabilities. - There are no facts or circumstances (including the existence of effective or proposed leases, use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete the Project or carry out the provisions of Part V of this Application, either by limiting its legal or financial ability or otherwise, except as follows: N/A 4, Land. — (a) The sponsor holds the following property interest in the following areas of land* which are to be developed or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse interests, all of which areas are identified on the aforementioned property map designated as Exhibit “A”: N/A *State character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse interests of every kind and nature, including liens, easements, leases, etc. The separate areas of land need only be identified here by the area numbers shown on the property map. Page 3a FAA Form 5100-100 (4-74) FAA AC 81-06913 OMB NO, 80-RO184 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION PART IL - SECTION C (Continued) The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and that such attorney or title company has determined that the Sponsor holds the above property interests. (a)The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work under the Project, the following property interest in the following areas of land* on which such construction work is to be performed, all of which areas are identified on the aforementioned property map designated as Exhibit “A”: N/A (c)The Sponsor will acquire within a reasonable time, and if feasible prior to the completion of all construction work under the Project, the following property interest in the following areas of land* which are to be developed or used as part of or in connection with the Airport as it will be upon completion of the Project, all of which areas are identified on the aforementioned property map designated as Exhibit “A”: N/A 5. Exclusive Rights. — There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport owned or controlled by the Sponsor except as follows: N/A *State character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse interests of every kind and nature, including liens, easements, leases, etc. The separate areas of land need only be identified here by the area numbers shown on the property map. FAA Form 8100-100 (4-76) FAA AC AV ROS FEDERAL AVIATION ADMINISTRATION OMB NO. 80-RO184 U.S. DEPARTMENT OF TRANSPORTATION PART Ill- BUDGET INFORMATION - CONSTRUCTION SECTION A - GENERAL . Federal Domestic Assistance Catalog Now... . cece ee Functional or Other Breakout... 2... cece ee ees SECTION B - CALCULATION OF FEDERAL GRANT Use only for ravisions Cost Classification Latest Approved Amount Adjustment + or (-} Total Amount Required Administration Expense Preliminary Expense Land, structures, right-of-way Architectural engineering basic fees Soy BS} oO] pp Other architectural engineering fees Project inspection fees Land development Relocation Expenses sO, wel nt ao Relocation payments to individuals and businesses 10, Demolition and removal 11. Construction and project improvement 12. Equipment 13. Miscellaneous Pre-construction CM at Risk Phase | 14. Total (Lines 1 through 13) 15. Estimated Income (if applicable) 16. Net Project Amount (Line 14 minus 15) 17. Less: Ineligible Exclusions 18. Add: Contingencies 19. Total Project Amt. (Excluding Rehabilitation Grants) 4,000,000 20. Federal Share requested of Line 19 2,000,000 ai. Add Rehabilitation Grants Requested (100 percent) 22. Total Federal grant requested (Lines 20 & 21) 2,000,000 23. Grantee share 1,000,000 24, Other shares State of Florida 1,000,000 25. Total project (Lines 22, 23, & 24) 4,000,000 FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 Page 4 FEDERAL AVIATION ADMINISTRATION OMB NO. 80-RO184 U.S. DEPARTMENT OF TRANSPORTATION SECTION C - EXCLUSIONS Classification ineligible for Excluded from Participation Contingency Provision 26. (1) (2) a. $ $ b.. c. d. e. f. g. Totals SECTION D - PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 27. Grantee Share $ 1,000,000 a. Securities b. Mortgages ¢. Appropriations (By Applicant) d, Bonds &. Tax Levies f. Non Cash g .Other (Explain) Passenger Facility Charge (PFC) 1,000,000 h .TOTAL — Grantee share 1,000,000 28. Other Shares a. State 1,000,000 b. Other c. Total Other Shares 1,000,000 29. TOTAL $ 2,000,000 SECTION E - REMARKS PART IV PROGRAM NARRATIVE (Attach - See Instructions) FAA AC 75-023 PAGES FAA Form §100-100 (6-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 PART IV PROGRAM NARRATIVE | PROJECT: Design and Construct Air Traffic Control Tower | AIRPORT: Destin/Fort Walton Beach Airport 1. Objective: To provide safe and efficient control of aircraft in a high density area involving military and civilian aircraft. 2. Benefits Anticipated: Eliminate or significantly reduce incursions and potential or real accidents. 3. Approach: (See approved Scope of Work in final Application) Positive control of Destin inbound or outbound air traffic. Eliminate ground incursions. 4, Geographic Location: See attached sketch 5. Justification for Force Account Work: (if applicable) N/A 6: Sponsor's Representative: (incl. address & tel. no.) Mr. Sunil Harman, A.A.E., [AP Airports Director 1701 SR 85 North Eglin AFB, FL 32542 (850)651-7160 DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION ORLANDO AIRPORTS DISTRICT OFFICE | SOUTHERN REGION AIRPORTS DIVISION FINDING OF NO SIGNIFICANT IMPACT AND RECORD of DECISION DESTIN AIRPORT CONTRACT AIR TRAFFIC CONTROL TOWER PROJECT July 29, 2013 FAA ORLANDO ADO | FINDING OF NO SIGNIFICANT IMPACT AND RECORD OF DECISION BACKGROUND The National Environmental Policy Act (NEPA) ‘requires Federal agencies to incorporate environmental considerations during the planning process of proposed actions. Pursuant to the Council on Environmental Quality (CEQ) Regulations for Implementing the Procedural Provisions of NEPA, Part 1502.13, Okaloosa County (County) prepared a Final Focused Environmental Assessment to analyze and disclose the

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